N/A
N=224
Nudge to Drive Transitions of Care
Preeclampsia · Preeclampsia Severe · Gestational Hypertension · Hypertensive Disorder of Pregnancy · Superimposed Pre-Eclampsia
Bottom Line
View on ClinicalTrials.gov: NCT04660032 ↗Enrolled (actual)
224
Serious AEs
—
Results posted
Aug 2024
Primary outcome: Primary: Number of Patients With Documented Counseling on Transitions of Care — 38; 28 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Nudge (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- Female
- Sponsor
- University of Pennsylvania
- Primary completion
- Jun 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients With Documented Counseling on Transitions of Care |
38; 28 | — |
| SECONDARY Nudge Message Opened Within 1 Week of Receipt |
104; 0 | — |
| SECONDARY Number of Patients With Documented Counseling on Cardiovascular Disease (CVD) Risk at the Postpartum Visit |
21; 9 | — |
| SECONDARY Number of Participants With Postpartum Visit Notes That Used Example Text |
11; 1 | — |
| SECONDARY Number of Patients With Preventative Care Follow-up |
23; 29 | — |
Summary
Hypertensive disorders of pregnancy (HDP) are stress tests which may identify women at high risk of future cardiovascular disease (CVD), the leading cause of death among women. Given the public health impact of HDP and CVD, there is a compelling need to identify scalable interventions to improve preventative care among women who have risk identified during pregnancy. We will examine the effects of delivering electronic prompts to obstetric care providers (nudge) on transitions of care in the postpartum period. We will conduct a pilot randomized trial to evaluate whether this nudge intervention will improve postpartum counseling and lead to greater follow-up with preventative care providers among women with HDP.
Eligibility Criteria
Inclusion Criteria
- At least 18 years old.
- Have a diagnosis of HDP during delivery admission or have a diagnosis made at time of evaluation in the Perinatal Evaluation and Treatment Unit after discharge from the delivery admission. HDP diagnoses are based on criteria from the American College of Obstetricians and Gynecologists (ACOG).
- Enrolled in Heart Safe Motherhood at Pennsylvania Hospital.
- Have a postpartum visit with a University of Pennsylvania HealthSystem provider scheduled 4-12 weeks after delivery.
Exclusion Criteria
- Women diagnosed with chronic hypertension (CHTN) without superimposed pre-eclampsia (PEC).
Data sourced from ClinicalTrials.gov (NCT04660032). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.